Individual provider Active NPI

Dennis C Trimble, D.M.D P.C.

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1124063045
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2254 Issued in AZ
Practice address
5406 W Glenn Dr
Suite #4
Glendale, AZ 85301-2662
Phone
(623) 937-1412
Fax
(623) 842-3518
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2254 AZ Primary

Addresses

Primary practice location

5406 W Glenn Dr
Suite #4
Glendale, AZ 85301-2662

Mailing address

5406 W Glenn Dr
Suite #4
Glendale, AZ 85301-2662
Phone (623) 937-1412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2254AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis C. Trimble D.M.D., P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124063045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 W GLENN DR",
            "address_2": "SUITE #4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012662",
            "telephone_number": "623-937-1412",
            "fax_number": "623-842-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 W GLENN DR",
            "address_2": "SUITE #4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012662",
            "telephone_number": "623-937-1412",
            "fax_number": "623-842-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "DENNIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.